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WOODHAVEN ADULT HOME, LLC

Company Details

Name: WOODHAVEN ADULT HOME, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Mar 1999 (26 years ago)
Entity Number: 2355981
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 1 ARBUTUS PATH, PORT JEFFERSON, NY, United States, 11777

DOS Process Agent

Name Role Address
WOODHAVEN ADULT HOME, LLC DOS Process Agent 1 ARBUTUS PATH, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1609998681

Authorized Person:

Name:
MR. KENNETH E GAUL
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
6314737118

Form 5500 Series

Employer Identification Number (EIN):
113480386
Plan Year:
2023
Number Of Participants:
84
Sponsors Telephone Number:

History

Start date End date Type Value
2020-02-26 2023-08-16 Address 1 ARBUTUS PATH, PORT JEFFERSON, NY, 11777, USA (Type of address: Service of Process)
2017-10-31 2020-02-26 Address 1350 ROUTE 112, PORT JEFFERSON STA., NY, 11776, USA (Type of address: Service of Process)
1999-03-15 2017-10-31 Address 1360 ROUTE 112, PORT JEFFERSON STA., NY, 11776, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230816002258 2023-08-16 BIENNIAL STATEMENT 2023-03-01
200226060123 2020-02-26 BIENNIAL STATEMENT 2019-03-01
181001000329 2018-10-01 CERTIFICATE OF AMENDMENT 2018-10-01
171031002051 2017-10-31 BIENNIAL STATEMENT 2017-03-01
110412002719 2011-04-12 BIENNIAL STATEMENT 2011-03-01

Date of last update: 31 Mar 2025

Sources: New York Secretary of State